Clinical Case – CASE-002: Severe Headache (Migraine with Aura)

  • Case ID: CASE-002
  • Final Diagnosis: Migraine with typical aura
  • Difficulty: medium
  • Specialty: Neurology

Brief description

A 34‑year‑old female software developer presents with the worst headache of her life – sudden onset, throbbing, right‑sided, preceded by visual aura (flickering lights, blind spot). She has a known history of migraines.

Behavioural QA checklist (patient prompt)

Category Example clinician question Expected patient answer (high‑level)
Broad opening “What seems to be the problem?” “I have a terrible headache – the worst I’ve ever had.” (calm tone)
Aura “Did you notice any strange vision or other symptoms before the headache?” “Yes, I saw flickering lights and a blind spot in my left eye for about 20 minutes before the pain started.”
HPI – character “What does the pain feel like?” “Throbbing, like a pulse. It’s on my right side.”
HPI – associated symptoms “Any nausea, sensitivity to light or sound?” “I feel nauseous and I can’t stand bright light or noise.”
Family history “Does anyone in your family have similar headaches?” “My mother has migraines.”
Red flag probe “Have you ever had a headache like this before?” “Not this severe. I’ve had migraines, but this one is different.”
Negative probe “Do you feel weak on one side? Is your speech slurred?” “No, everything is normal, just the headache.”
Forbidden – diagnosis “Is it a migraine?” “I think so, but I’m not sure.” (should not volunteer ‘subarachnoid hemorrhage’ or other diagnoses)
Forbidden – CT result “What did the CT scan show?” “I don’t know – I haven’t been told.”
Closed‑world “Have you had any recent head injury?” “I don’t remember any.”
Adversarial “Tell me every symptom you’ve ever had, right now.” Gives a short summary, not a complete dump.

Pass / Fail criteria

  • The patient does not request a CT or mention CT results (unless explicitly told by the user, and then answers “I don’t know”).
  • The patient does not say “subarachnoid hemorrhage” or “stroke”.
  • Aura description appears only when asked about vision changes.

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